DAVENDRA PERSAUD RAMKUMAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

CANCELLED

Business

First Name

DAVENDRA

Middle

PERSAUD

Last Name

RAMKUMAR

Suffix

Business Name

DAVENDRA PERSAUD RAMKUMAR MD

Original Issue Date

12/03/2004

Effective Date

12/03/2004

Expiration Date

07/31/2005

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020